Individual provider Active NPI

Ivania Peralta Kattengell, M.D.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1205916186
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31386501 Issued in NY
Practice address
400 Fort Washington Ave Apt 1C
New York, NY 10033-6837
Phone
(212) 923-8500
Fax
(212) 923-6718
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31386501 NY Primary
Pediatrics Physician 208000000X M0862 TX

Addresses

Primary practice location

400 Fort Washington Ave Apt 1C
New York, NY 10033-6837

Mailing address

400 Fort Washington Ave Apt 1C
New York, NY 10033-6837
Phone (212) 923-8500

Other identifiers 2

IdentifierTypeStateIssuer
177112301MedicaidTX
07878164MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705000274 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5092007559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31386501NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Kids Pediatrics PLLC Pediatrics CurrentSince Nov 24, 2025 Accepting new patients
Abc Kids Pediatrics Pediatrics Past Accepting new patients
Children's Clinic of El Paso Pediatrics Past Accepting new patients
Dap Medical Care PC PastSince Nov 24, 2025 Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFHEBD/Endpoint/GFHEBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1205916186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FORT WASHINGTON AVE APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336837",
            "telephone_number": "212-923-8500",
            "fax_number": "212-923-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FORT WASHINGTON AVE APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336837",
            "telephone_number": "212-923-8500",
            "fax_number": "212-923-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA KATTENGELL",
        "first_name": "IVANIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "31386501",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M0862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177112301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07878164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.